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Organization
AVENUE OF LIFE
Active
Organization
AVENUE OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE MONIZE (CEO)
(816) 519-8419
Entity
Organization
Contact information
Practice address
500 NORTH 7TH STREET TRAFFICWAY, KANSAS CITY, KS 66101
(816) 787-6101
Mailing address
PO BOX 34495, KANSAS CITY, MO 64116-0895
(913) 787-6101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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